Individual
JAYCIE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC-A
Contact information
Practice address
242 DEXTER ST, PAWTUCKET, RI 02860-1908
(401) 822-1360
Mailing address
215 WASHINGTON ST, WEST WARWICK, RI 02893-5176
(401) 822-1360
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/24/2024
Last updated
07/24/2024
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